Psych

Question 1

Hypomania

Answer 1

• euphoric
• expansive affect
• little sleep
• lasts four days or less and does not impair an individual’s life

Question 2

Mania

Answer 2

• impairs QOL
• hallucinations
• require temporary hospitalization because of the lack of judgment and insight.

Question 3

Severe anxiety

Answer 3

• reduced and distorted perceptual field
• focuses on details or one specific detail
• attention is scattered
• inability to problem solve
• feeling of impending doom

Question 4

Factious disorder

Answer 4

• faking symptoms

Question 5

Antisocial Personality Disorder

Answer 5

• disregard rights of others
• lack of empathy/remorse
• engage in criminal activitiesment
• low adherance to treatment
  
  • engage client and address resistance

Question 6

Narcissistic personality disorder

Answer 6

• grandiosity
• exaggerated sense of self-importance
• attention seeking

Question 7

Schizotypal personality disorder (SPD)

Answer 7

• social avoidance
• odd behavior
• eccentric behavior
  
  • brightly dyed hair
• magical thinking!!!!!!
  
  • illusions
  • ideas of refrence
    
    • random/irrevelant events are related to them somehow
• some paranoia
• appropraite self-esteem!!!!!!!
  
  • key difference between avoidant personality disorder
    
    • negative self-worth here

Question 8

Avoidant personality disorder

Answer 8

• similiar to schizotypal personality disorder (SPD)
  
  • no magical thinking
  • negative self-esteem

Question 9

Bipolar disorder

Answer 9

• often seen in family history

Question 10

Cluster A personality disorders

Answer 10

• paranoid
• mistrustful
• hostile
• schizoid
• aloof
• anhedonia (lack of interest)
• bizzare behavior
• magical thinking

Question 11

Cluster B personality disorders

Answer 11

• antisocial
  
  • doesn’t follow social norms
• borderline
  
  • splitting
  • crave attention
• histrionic (dramatic)
  
  • seductive/provacative
• narcissistic
  
  • grandiose
  • craves admiration

Question 12

Cluster C personality disorders

Answer 12

• avoidant
• feeling inadequate
• dependent (even trivial)
• helpless
• obsseive/compulsive
• rigid personality
• craves perfection/control

Question 13

Anorexia nervosa

Answer 13

• hypokalemia
  
  • abdominal distention
  • weakness
  • preform EKG
    
    • U-wave
    • ST depression
    • shallow, flat, inverted T wave
• goal is gain 1 lb (0.5kg) a week
• no meds to treat
• cognitive-behavioral therapy (CBT)

Question 14

Cognitive-behavioral therapy (CBT)

Answer 14

• first-line treatment for phobias
  
  • repeated exposure to fear
• anxiety
• eating disorders!!!
• OCD

Question 15

Behavioral psychotherapy

Answer 15

• substance related disorders
• operant conditioning (Skinner)
• aversion therapy
• desensitization therapy
• modeling
• stress-management

Question 16

Psychoanalysis

Answer 16

• past and present issues
• anti-social personality disorders

Question 17

Cognitive psychotherapy

Answer 17

• depresseion
• anxiety
• eating disorders
• alter perspective and attitude related to stressors

Question 18

Mutual pretense

Answer 18

• end of life
• client and loved ones do not talk about death
• preserves degree of dignity and privacy

Question 19

Avolition

Answer 19

• lack of motivation
• seen in hypothyroidism

Question 20

Frued’s psychosexual theory

Answer 20

• anal
  
  • toilet training
• individualism and separation
  
  • toddler to preschool
• phallic stage
  
  • emotional development
• latent stage
• genital stage
• start of purberty

Question 21

Trichotillomania

Answer 21

• hair pulling
• OCD
• give SSRI
  
  • fluoxetine
  • citalopram
  • paroxetine

Question 22

PCA age

Answer 22

• young as 7

Question 23

Reaction formation

Answer 23

• acts opposite to their true feelings or actions
• hate someone but act kind around them

Question 24

Lawrence Kohlberg’s 6 Stages of Moral Development

Answer 24

• Stage 1
  
  • pre-conventional
  • 3-7 years
  • morals based on reward
• Stage 2
  
  • conventional
  • 8-13
  • morals based on wanting to be seen as good (good boy/girl)
• Stage 3
  
  • post-conventional
  • adulthood
  • morals based on personal ethics

Question 25

Domains of pain

Answer 25

- Reiki - spirit domain - Massage - body domain - Hypnosis - mind domain

Question 26

Dawn phenomenon

Answer 26

- hyperglycemia between 5AM-6AM - release of cortisol, growwth hormone, adrenaline

Question 27

Restraints

Answer 27

- client should never be prone - can lead to suffocation - discontinue as soon as possible

Question 28

Borderline personality disorder

Answer 28

- unstable - moods - behavior - relationships - views people as “all good” or “all bad” - devaluation - splitting - denial - projection - seek attention - self-mutilation - indiscriminate sex

Question 29

Prodrome phase of schizophrenia

Answer 29

- negative symptoms appear gradually - impact work, school, relationships

Question 30

Acute phase of schizophrenia

Answer 30

- mild to severe psychotic symptoms - delusions - hallucinations - impaired insight/judgement - needs hospitalization

Question 31

Stabilization phase of schizophrenia

Answer 31

- symptoms start to recede over weeks to months

Question 32

Maintenance phase of schizophrenia

Answer 32

- positive symptoms go away - negative symptoms may continue - level of functioning partially restored